ACSM Clinical Exercise Physiologist Exam
Factors for a valid VO2 Max? RER > 1.1
Lactate >8mmol/L
RPE>18
Plateu in VO2
HR @ age predicted max
Drug has half life of 4 hours. IF given 125mg
1000mg, what concentration is left after
12 hours.
Can HR max be changed with training? NO
How many factors must we see for Valid 3
Vo2 max test?
RER vs RQ RER: co2 expired/ o2 consumed at mouth
RQ: Co2 produced by cell metabolism/ o2 used by tissues
What variable caueses VO2 max to Stroke volume because heart gets bigger (NOT MAX HR)
increase with training?
Lactates main job is to___and does not buffer Ph, muscle fatigue
cause
Client DOES NOT regularly exercise, when - Have a chronic disease
do they need clearance? - Have a chronic disease and S/S
Client DOES regularly exercise, when do Only if they have S/S
they need clearance?
Acute EXSC affect on leukocytes? INC concentration
,Gold std for diagnosing cardiac issues Cardiac catheterization
ST segment elevation vs depression Elevation: Myocardial infarction
Depression: ischemia
2 cases when you should not do a regular - Client uses Beta Agonist
exsc stress test:
- Client uses dipyridamole (a vasodilator)
What BP level contraindicated during exsc 250/115
test
Patient w/ CAD will exhibit what symptom VERY slow to return to resting levels
relating to HR and BP after EXSC?
Primary cause of type 2! diabetes? Inflammation
S/S of diabetes mellitus: Polydipsia
(thirst)
Polyuria
(urination)
Polyphagia
(hunger)
Which diabetic medications is Insulin (if exercising at peak insulin effect)
contraindicated for exercise?
When programming EXSC for clinical Frequency, then duration, then intensity
population, what variables should be
progressed first?
*When adjusting intensity, duration should be dropped back
to baseline
Primary cause of obesity Hypercaloric Diet
Obesity BMI classifications >30 = OBESE
30-34=mild
34-39=moderate
>40=morbid
, waist circumference > 40 Males
>35 Females
INCREASED RISK
What type of adiposity is most Central (visceral) adiposity
inflammatory?
Most effective method for losing weight? Surgical intervention
NIH's weight loss goal for obese 5-10%
individuals (what is clinically significant)
What is exercises effect on weight loss? LITTLE TO NONE!
Factors for a valid VO2 Max? RER > 1.1
Lactate >8mmol/L
RPE>18
Plateu in VO2
HR @ age predicted max
Drug has half life of 4 hours. IF given 125mg
1000mg, what concentration is left after
12 hours.
Can HR max be changed with training? NO
How many factors must we see for Valid 3
Vo2 max test?
RER vs RQ RER: co2 expired/ o2 consumed at mouth
RQ: Co2 produced by cell metabolism/ o2 used by tissues
What variable caueses VO2 max to Stroke volume because heart gets bigger (NOT MAX HR)
increase with training?
Lactates main job is to___and does not buffer Ph, muscle fatigue
cause
Client DOES NOT regularly exercise, when - Have a chronic disease
do they need clearance? - Have a chronic disease and S/S
Client DOES regularly exercise, when do Only if they have S/S
they need clearance?
Acute EXSC affect on leukocytes? INC concentration
,Gold std for diagnosing cardiac issues Cardiac catheterization
ST segment elevation vs depression Elevation: Myocardial infarction
Depression: ischemia
2 cases when you should not do a regular - Client uses Beta Agonist
exsc stress test:
- Client uses dipyridamole (a vasodilator)
What BP level contraindicated during exsc 250/115
test
Patient w/ CAD will exhibit what symptom VERY slow to return to resting levels
relating to HR and BP after EXSC?
Primary cause of type 2! diabetes? Inflammation
S/S of diabetes mellitus: Polydipsia
(thirst)
Polyuria
(urination)
Polyphagia
(hunger)
Which diabetic medications is Insulin (if exercising at peak insulin effect)
contraindicated for exercise?
When programming EXSC for clinical Frequency, then duration, then intensity
population, what variables should be
progressed first?
*When adjusting intensity, duration should be dropped back
to baseline
Primary cause of obesity Hypercaloric Diet
Obesity BMI classifications >30 = OBESE
30-34=mild
34-39=moderate
>40=morbid
, waist circumference > 40 Males
>35 Females
INCREASED RISK
What type of adiposity is most Central (visceral) adiposity
inflammatory?
Most effective method for losing weight? Surgical intervention
NIH's weight loss goal for obese 5-10%
individuals (what is clinically significant)
What is exercises effect on weight loss? LITTLE TO NONE!
